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Organization
PERIODONTAL & IMPLANT EXCELLENCE
Active
Organization
PERIODONTAL & IMPLANT EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MARIA DIAZ DMD (DENTIST)
(305) 972-0768
Entity
Organization
Contact information
Practice address
2247 PALM BEACH LAKES BLVD, #207, WEST PALM BEACH, FL 33409
(561) 242-2861
(561) 242-2833
Mailing address
2247 PALM BEACH LAKES BLVD, #207, WEST PALM BEACH, FL 33409
(561) 242-2861
(561) 242-2833
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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